Individual
MRS. KIKELOMO OGUNDIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MONT AVE, DIX HILLS, NY 11746-6836
(631) 807-2763
(631) 807-2763
Mailing address
10 MONT AVE, DIX HILLS, NY 11746-6836
(631) 807-2763
(631) 807-2763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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